Philips Expression MR400

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ExpressionMR400InstructionsforUse MonitoringAgentsandGases(AGENTOption)9‐19

Individualalarmlimitsettingscanbeadjustedbyselectingtheparameterthatyouwantto

changeontheGasAlarmsmenu.

5 O2 (Fi) – (Oxygen [Fractional inspired])

6 N2O (Fi) – (Nitrous oxide [Fractional inspired])

7 Enf (Fi) – (Enflurane [Fractional inspired])

8 Enf (Et) – (Enflurane [End-tidal])

9 Iso (Fi) – (Isoflurane [Fractional inspired])

10 Iso (Et) – (Isoflurane [End-tidal])

11 Hal (Fi) – (Halothane [Fractional inspired])

12 Hal (Et) – (Halothane [End-tidal])

1 Agent or gas alarm limits label (active adjustment shown)

2Low button

3 Lower alarm limit setting

4 Alarm limit, minimum

5 Upper alarm limit setting

6 Alarm limit, maximum

7High button

132

Main Page

Manufacturer2
Identification and Publication Details2
Regulatory3
Explanation of Symbols3
Conventions11
- System Conventions11
- Document Conventions11
Important Information23
- About23
- Intended Use24
- Compatibility24
- Indications for Use25
- Contra-indications25
- Training26
- Safety26
  - Equipment Classification (According to IEC 60601-1)29
- Electromagnetic Compatibility (EMC)30
  - Radios30
- Using Batteries Safely34
- Examining the Shipment35
  - Disposing of the Packaging36
- Initial Setup36
  - Installing and Connecting Cart Batteries38
  - Attaching the SpO2 Probe to the wSpO2 Module40
- Rear Panel Connections41
  - Connecting AC Mains Power42
- Understanding Battery Operations43
- Understanding Wireless Network Operations49
  - Setting the Wireless Network Channel of the Cart49
  - Setting the Wireless Network Channel of the wECG and wSpO2 Modules51
- Advanced User Options55
  - Expression Information Portal (Model IP5)55
  - Additional Options55
- Accessory List55
System Overview63
- System Parameters63
- System Components64
  - Use Model64
- Hardware Features67
- wECG and wSpO2 Modules70
  - wECG Module71
    - wECG Module Indicators71
  - wSpO2 Module73
    - wSpO2 Module Indicators73
- Storing Modules and Accessories74
- Displayed Information and Controls75
- Navigation and Operation84
- Modes of Operation85
Getting Started87
- Defibrillator and Electrosurgical Use87
- Positioning the MR40088
- Operating the MR40089
  - System Power-up and Communications Verification90
    - Cart Power-down92
    - Wireless Module Power-down92
- Monitor Initialization92
- Viewing the Displayed Information93
- Default Settings93
  - Default Setting Indications93
  - User Settings94
- Initial Alarm Indications96
- Selecting the Patient Type97
- Setup Menus99
  - Monitor Setup Menu100
Alarms125
- Alarm Safety Information126
- Visual Alarm Indications126
- Audible Alarm Indications128
- Managing Alarm Functions132
- Alarms Menu141
- Adjustable Alarm Limit Ranges146
- Alarm Limit Factory Defaults148
- Measurement Limits and Over / Under Values149
- Listing of Alarms150
  - Patient and INOP Alarms151
  - Technical (INOP) Alarms and Other Status Flags155
Monitoring ECG165
- ECG Monitoring Considerations for the MR Environment165
- wECG Module and ECG Lead Cable166
- Quadtrode Electrodes167
- ECG Waveforms and VS Box186
  - Changing the Heart Rate Alarm Limits188
- ECG Menu190
Monitoring SPO2199
- wSpO2 Module, SpO2 Probe and SpO2 Attachment199
- Patient Preparation for SpO2 Monitoring200
- SPO2 Waveform and VS Box206
- SPO2 Menu210
Monitoring CO2 (LoFlo Option)217
- MR400 Preparation for CO2 Monitoring217
- Operation and Use218
- Patient Preparation for CO2 Monitoring220
- CO2 Waveform and VS Box223
  - Changing the CO2 and CO2 (RESP) Alarm Limits225
  - Changing the Unit of Measure227
- CO2 Menu228
Monitoring Invasive Blood Pressure233
- Indications and Contraindications233
  - Adult and Pediatric Patients233
  - Neonatal Patients233
- Patient Preparation for IBP Monitoring234
- Transducer Component, Connection, and Feature Locations234
- MR 400 Preparation for IBP Monitoring235
  - Adult and Pediatric Patients: Expression MR IBP DPT Kit, A/P (REF 989803194631)236
  - Neonatal Patients: Expression MR IBP DPT Kit, I/N (REF 989803194641)242
- Zeroing the Pressure Transducer248
- P1 (and P2) Menu254
Monitoring Agents and Gases (AGENT Option)261
- MR400 Preparation for AGENT Monitoring261
- Operation and Use261
- CO2 Low Flow and Occlusion Conditions264
- Selecting AGENT Accessories265
- AGENT Tubing Preparation265
  - Pre-Use System Checks268
  - Applying the Sampling Line to the Patient270
- Water Trap Replacement273
- AGENT and GAS VS Boxes274
- MAC Window280
- CO2 Waveform and VS Box282
  - Changing the CO2 and CO2 (RESP) Alarm Limits283
  - Changing the Unit of Measure286
- CO2 Menu287
Monitoring RESP291
- Patient Preparation for RESP Monitoring291
  - Monitoring Respiration using CO2291
  - Monitoring Respiration using the Bellows291
- Bellows Preparation292
- Respiration VS Box293
  - Changing the CO2 (RESP) Alarm Limits295
- RESP Menu295
Monitoring Temperature301
- General Usage Precautions301
- Initial Use302
- Connecting and Disconnecting the Sensor303
- Temperature Measurements304
  - Making Surface Temperature Measurements304
  - Making Body Temperature Measurements305
    - Placing the Temperature Sensor in a Jacket305
    - Placing the Temperature Sensor at the Body Site306
- Post-Measurement Processing307
- Accuracy Check308
- TEMP VS Box308
  - Changing the TEMP Alarm Limits309
  - Changing the Unit of Measure310
- TEMP Menu310
  - Units311
Monitoring NIBP313
- Patient Preparation for NIBP Monitoring314
  - Selecting the NIBP Cuff315
  - Positioning the NIBP Cuff317
- Connecting the NIBP Cuff317
- NIBP VS Box320
- NIBP Menu326
Trend Data and Printing331
- Trending Functions331
  - Viewing Tabular Trend Data331
  - Tabular Trends Menu331
- Printing Functions340
- Printer Menu341
Maintenance and Troubleshooting347
- General Cleaning Guidelines347
- Removing all Power to the MR400348
  - Restoring all Power to the MR400350
- Removing Power from the Wireless Modules350
  - Restoring Power to the Wireless Modules350
- User Routine-Checks and Planned Maintenance350
- Cleaning, Disinfection, and Damage Inspection352
  - Cleaning, Disinfecting, and Inspecting the Accessories353
  - Cleaning, Disinfecting, and Inspecting MR400 and Wireless Modules355
- Sterilization356
- Testing Alarms357
- Testing a Dropped Wireless Module358
- Verification Testing359
- Anesthetic Oxygen (O2) Sensor Depletion359
  - Replacing the O2 Sensor359
- Updating Software361
- Calibrating the Touch Screen362
- Troubleshooting362
- Repair362
- Environmental Requirements363
- Passing the Product on to another User364
  - Packaging the MR400364
- Final Disposal of the Product367
  - Disposal of the MR400 and Accessories367
  - Fitting, Removing and Disposing of Batteries368
Specifications369
- General369
- Displayed Information374
- ECG375
- Pulse Oximeter377
- CO2 (Optional LoFlo)378
- Invasive Blood Pressure (Optional)381
- AGENT (Optional)383
- Bellows Respiration391
- Temperature (Optional)391
- Non-Invasive Blood Pressure392
- Gating Outputs396
Warranty397
- Warranty Statement397
Regulatory Information399
- European Union399
  - Declaration of Conformity399
  - Authorized Representative399
- Australia399
Gating Feature401
- MR400 Preparation for Gating401
  - Gating Connector Pin-outs401
- Using the Gating Feature402
  - Using ECG Gating402
  - Using SPO2 Gating404
Guidelines and References405
- Guidelines for the Prevention of Excessive Heating and Burns Associated with Magnetic Resonance Procedures405
- References407

Philips Expression MR400 - Page 279

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